Evaluation of surgical outcomes for fracture of the proximal tibial epiphysis

2020 ◽  
pp. 16-25
Author(s):  
Gulomjon Boimurodov ◽  
Akhmat Dursunov ◽  
Dilmurod Ruzibaev
Keyword(s):  
Laboratory Study ◽  
Surgical Outcomes ◽  
Proximal Tibia ◽  
Medical Center ◽  
Tibial Epiphysis ◽  
Comprehensive Study

This work is based on a clinical and laboratory study of 121 patients who had surgery for fractures of the proximal tibia. The observation was carried out in the period after the operation from 3 months to 9 months from 2012 to 2019 in the Republican Specialized Scientific and Practical Medical Center and in the clinic of the National Center for Rehabilitation and Prosthetics of Disabled. Results of a comprehensive study are presented: clinical (orthopedic, neurological), radiological, MSCT, as well as physiological (electromyography) examinations. Clear indicators have been developed to assess the effectiveness of the surgery for fractures of the proximal tibia, as well as the duration of recovery after the surgery.

scholarly journals Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 14-Year-Old Athlete with Vitamin-D Deficiency

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ziad Harb ◽  
Arfan Malhi
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Proximal Tibia ◽  
Vital Role ◽  
Bone Homeostasis ◽  
Avulsion Fractures ◽  
Developmental Anatomy ◽  
Tibial Epiphysis ◽  
Developmental Features ◽  
Physeal Fractures

Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries. The specific anatomical and developmental features of the proximal tibial epiphysis make it vulnerable to unique patterns of fractures. Vitamin-D plays a vital role in bone homeostasis and its deficiency has an impact on fracture risk and healing. We present the first ever reported case of simultaneous bilateral proximal tibial physeal fractures in an athlete with vitamin-D deficiency. Treatment consisted of plaster immobilisation, and the patient made a full recovery and returned to preinjury level of activities. We report this case for its uniqueness and as an educational review of the importance of the developmental anatomy of the proximal tibia. We review the literature and discuss how the stages of the growing physis determine the type of fracture sustained.

Insurance status does not impact surgical outcomes at a large tertiary medical center

2018 ◽  
Vol 149 ◽  
pp. 216-217
Author(s):  
A.M. Pfister ◽  
L.H. Clark ◽  
N. Perrone
Keyword(s):  
Surgical Outcomes ◽  
Medical Center ◽  
Insurance Status

scholarly journals Imaging and Outcomes for a New Entity: Low-Grade Sinonasal Sarcoma with Neural and Myogenic Features

2017 ◽  
Vol 78 (01) ◽  
pp. e15-e19 ◽  
Author(s):  
Richard Cannon ◽  
Richard Wiggins ◽  
Benjamin Witt ◽  
Yusuf Dundar ◽  
Tawni Johnston ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Outcomes ◽  
Medical Center ◽  
Academic Medical Center ◽  
Case Series ◽  
Intracranial Extension ◽  
Low Grade ◽  
Skull Base Tumor ◽  
Imaging Characteristics ◽  
Sinonasal Mass

Objectives Low-grade sinonasal sarcoma with neural and myogenic features (LGSSNMF) is a new, rare tumor. Our goal is to describe the imaging characteristics and surgical outcomes of this unique skull base malignancy. Design Retrospective case series. Setting Academic medical center. Participants There were three patients who met inclusion criteria with a confirmed LGSSNMF. Main Outcome Measures Imaging and histopathological characteristics, treatments, survival and recurrence outcomes, complications, morbidity, and mortality. Results Patients presented with diplopia, facial discomfort, a supraorbital mass, and nasal obstruction. Magnetic resonance imaging and computed tomography imaging in all cases showed an enhancing sinonasal mass with associated hyperostotic bone formation that involved the frontal sinus, invaded the lamina papyracea and anterior skull base, and had intracranial extension. One patient underwent a purely endoscopic surgical resection and the second underwent a craniofacial resection, while the last is pending treatment. All patients recovered well, without morbidity or long-term complications, and are currently without evidence of disease (mean follow-up of 2.1 years). One patient recurred after 17 months and underwent a repeat endoscopic skull base and dural resection. Conclusions The surgical outcomes and imaging of this unique, locally aggressive skull base tumor are characterized.

Female Urethral Diverticula: Diagnosis, Pathology, and Surgical Outcomes at an Academic, Urban Medical Center

Urology ◽  
2019 ◽  
Vol 128 ◽  
pp. 42-46 ◽  
Author(s):  
Joseph B. Pincus ◽  
Melissa Laudano ◽  
Ava Leegant ◽  
Keith Downing
Keyword(s):  
Surgical Outcomes ◽  
Medical Center ◽  
Urethral Diverticula

scholarly journals Regulation of Surgical Procedures and Health Care Facilities Rankings in Nepal

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Yogesh Acharya ◽  
Ranjan Dahal ◽  
Navindra Raj Bista ◽  
Milan Chandra Khanal ◽  
Sangita Bista
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Surgical Procedures ◽  
Low Income ◽  
Surgical Outcomes ◽  
Health Care Facilities ◽  
Low Income Countries ◽  
Care Facilities ◽  
Avoidable Death ◽  
Comprehensive Study

Globally, millions of surgeries are performed each year to compliment and manage a diverse set of medical conditions. Adverse surgical outcomes constitute a major proportion of avoidable death and disabilities in the hospital, especially in low-income countries like Nepal. A comprehensive study on the standards of surgical procedures and its institutional regulations is missing. We discuss here the importance of surgical regulation based on it’s financial as well as healthcare implications in the Nepalese healthcare system. Keywords: surgical procedures; health care facilities; safety; surgery; WHO.

Use of individual surgeon versus surgical team approach: surgical outcomes of laparoscopic Roux-en-Y gastric bypass in an Asian Medical Center

2012 ◽  
Vol 8 (2) ◽  
pp. 214-219 ◽  
Author(s):  
Wency Chen ◽  
Chi-Chang Chang ◽  
Herng-Chia Chiu ◽  
Asim Shabbir ◽  
Daw-Shyong Perng ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Surgical Outcomes ◽  
Medical Center ◽  
Team Approach ◽  
Surgical Team ◽  
Individual Surgeon

scholarly journals Do Routine Preoperative and Intraoperative Urine Cultures Benefit Pediatric Vesicoureteral Reflux Surgery?

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Daniel R. Hettel ◽  
Bradley C. Gill ◽  
Audrey C. Rhee
Keyword(s):  
Surgical Outcomes ◽  
Medical Center ◽  
Academic Medical Center ◽  
Positive Culture ◽  
Inclusion Criteria ◽  
Culture Result ◽  
Asymptomatic Patients ◽  
Academic Medical ◽  
Single Organism ◽  
Colony Forming Units

Objective. To determine if routine preoperative and intraoperative urine cultures (UCx) are necessary in pediatric vesicoureteral (VUR) reflux surgery by identifying their association with each other, preoperative symptoms, and surgical outcomes.Materials and Methods. A retrospective review of patients undergoing ureteral reimplant(s) for primary VUR at a tertiary academic medical center between years 2000 and 2014 was done. Preoperative UCx were defined as those within 30 days before surgery. A positive culture was defined as >50,000 colony forming units of a single organism.Results. A total of 185 patients were identified and 87/185 (47.0%) met inclusion criteria. Of those, 39/87 (45%) completed a preoperative UCx. Only 3/39 (8%) preoperative cultures returned positive, and all of those patients were preoperatively symptomatic. No preoperatively asymptomatic patients had positive preoperative cultures. Intraoperative cultures were obtained in 21/87 (24.1%) patients; all were negative. No associations were found between preoperative culture results and intraoperative cultures or between culture result and postoperative complications.Conclusions. In asymptomatic patients, no associations were found between the completion of a preoperative or intraoperative UCx and surgical outcomes, suggesting that not all patients may require preoperative screening. Children presenting with symptoms of urinary tract infection (UTI) prior to ureteral reimplantation may benefit from preoperative UCx.

scholarly journals Diagnosis and Surgical Outcomes of Patients with Anomalous Left Coronary Artery from the Pulmonary Artery: A Single Taiwanese Medical Center Experience

2020 ◽  
Vol 23 (2) ◽  
pp. E101-E106
Author(s):  
Wan-Fu Hsu ◽  
Pi-Chang Lee ◽  
Hsing-Yuan Li ◽  
Shao-Wei Huang ◽  
Shyi-Jou Chen ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Surgical Outcomes ◽  
Left Coronary Artery ◽  
Surgical Intervention ◽  
Medical Center ◽  
Left Ventricular ◽  
Diagnostic Methods ◽  
Anomalous Left Coronary Artery ◽  
Anomalous Left Coronary

Background: Anomalous left coronary artery from the pulmonary artery (ALCAPA), a very rare congenital cardiac anomaly, is associated with a high mortality rate among infants who are not diagnosed or treated in a timely manner. Surgical intervention with the reconstruction for a two-coronary-system circulation is the main treatment; however, there have been very few reported cases from Taiwan. In this study, we aim to describe the clinical manifestations, diagnostic methods, surgery types, and surgical outcomes in patients with ALCAPA from a single Taiwanese medical center. Methods: We retrospectively reviewed patients diagnosed with ALCAPA who underwent surgery at our institution between January 2001 and October 2018. Clinical presentations, noninvasive and invasive study results, surgical methods, and postoperative follow-up results were assessed from medical records. Moreover, literature on this particular cardiovascular anomaly was reviewed. Results: The study included 6 patients (5 children and 1 adult). The diagnosis was confirmed using cardiac catheterization and coronary angiography in four patients and only echocardiography in two patients. All patients underwent surgical correction and survived. Four patients showed improvements in left ventricular function and mitral regurgitation (MR). Conclusion: Early diagnosis and timely surgical intervention could avoid mortality regardless of the method of operation. ALCAPA can be definitively diagnosed using noninvasive echocardiography. Both left ventricular systolic function and mitral insufficiency could improve after the surgical intervention in pediatric patients. Repair or replacement of the mitral valve could be reserved for persistent MR complicated with congestive heart failure, particularly in patients who received the initial operation beyond infancy.

Neurosurgery at UT Southwestern Medical Center: 1956–2020

2021 ◽  
Vol 135 (6) ◽  
pp. 1849-1856
Author(s):  
Christopher L. Taylor
Keyword(s):  
Training Program ◽  
Surgical Outcomes ◽  
Medical Center ◽  
Pediatric Neurosurgery ◽  
Veterans Affairs ◽  
University Hospital ◽  
Fertile Ground ◽  
History Of Neurosurgery ◽  
National Organizations ◽  
History Of

The history of neurosurgery at UT Southwestern Medical Center in Dallas, Texas, is reviewed. Kemp Clark, MD, started the academic neurosurgical practice at Parkland Hospital in 1956. Clark developed a robust training program that required the resident to operate early. In 1972, the Dallas Veterans Affairs Hospital was added to the training program. Duke Samson, MD, became chair in 1988. He emphasized technical excellence and honest reporting of surgical outcomes. In 1989, Zale Lipshy University Hospital opened and became a center for neurosurgical care, and Hunt Batjer, MD, became chair in 2012. The program expanded significantly. Along with principles established by his predecessors, Batjer emphasized the need for all neurosurgeons to engage the community and to be active in policy leadership through local and national organizations. During his tenure, the pediatric neurosurgery group at Children’s Medical Center Dallas was integrated with the department, and a multidisciplinary spine service was developed. In 2014, the Peter O’Donnell Jr. Brain Institute was established, and the William P. Clements Jr. University Hospital opened. For 64 years, UT Southwestern Medical Center has been fertile ground for academic neurosurgery, with a strong emphasis on excellence in patient care.

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